4.12 - Immune Response to Infection Flashcards

1
Q

What are the steps of the immune response to infection?

A
  • microbial detection - bacteria, fungi, protozoa, viruses, microbiota
  • innate immune response - epithelia, phagocytes, NK cells, innate lymphoid cells
  • adaptive immune response - lymphoid tissues, T and B lymphocytes, antibodies, cytotoxic T cells
  • memory response - memory T and B cells, quick and specific response, lifelong immunity
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2
Q

Leukocytes and the soluble mediators they release

A
  • antibodies - B cells
  • cytokines - T cells, large granular lymphocytes, mononuclear phagocytes
  • complement - mononuclear phagocytes
  • inflammatory mediators - basophils, mast cells, platelets
  • interferons & cytokines - tissue cells
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3
Q

What are the four different pathogen niches during infection?

A
  • extracellular e.g. Staphylococcus, Streptococcus, Candida, microbiota, worms
  • surface adherent e.g. enteropathogenic & enterohaemorrhagic E. coli
  • intracellular vacuolar (that occupy specialised compartment in host cell e.g. modified lysosome or ER) e.g. Salmonella, Chlamydia, Legionella, Coxiella, Plasmodium
  • intracellular cytosolic e.g. viruses, Listeria, Burkholderia, Mycobacterium
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4
Q

How does an immune response to infection start?

A
  • tissue damage (e.g. injury / by toxins)
  • molecular detection of microbes - wrong thing in the wrong place at the wrong time
  • then, intercellular communication happens e.g. interleukins
  • this leads to priming of the adaptive immune response
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5
Q

How does an immune response to infection end?

A
  • clearing infection
  • stopping inflammatory cytokine production - more production of these can lead to tissue damage
  • repairing tissue damage
  • remembering the infection - immune memory
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6
Q

What are the components of innate immunity?

A
  • fast acting, first line of defence, germline encoded receptors
  • physical barriers - skin, mucous, epithelial cells
  • humoral - complement, lectins, pentraxins, antimicrobial peptides
  • cellular - neutrophils, macrophages, dendritic cells, NK cells
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7
Q

What are the components of adaptive immunity?

A
  • slower but long-lasting, variable receptors that mature over time (DNA recombination)
  • humoral - antibodies, complement
  • cellular - cytotoxic T cells, T helper cells, T regulatory cells, B lymphocytes and plasma cells
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8
Q

What are the differences between innate and adaptive immunity?

A

SPECIFICITY:
- innate - for structures shared by classes of microbes (PAMPs)
- adaptive - for structural detail of antigens, may recognise nonmicrobial antigens
NUMBER OF MICROBIAL MOLECULES RECOGNISED:
- innate - about 1000 PAMPs
- adaptive >10^7 antigens
RECEPTORS:
- innate - encoded in germline, limited diversity
- adaptive - encoded by genes produced by somatic recombination of gene segments, greater diversity
NUMBER AND TYPES OF RECEPTORS:
- innate <100 different types of invariant receptors
- adaptive - only two types of receptors (Ig and TCR), with millions of variations of each
DISTRIBUTION OF RECEPTORS:
- innate - nonclonal - identical receptors on all cells of the same lineage
- adaptive - clonal - clones of lymphocytes with distinct specificities express different receptors

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9
Q

What are there differences between in the innate and adaptive responses?

A
  • timing of the response
  • cell types
  • receptors and ligands
  • cytokines and chemokines
  • molecular effector machineries
  • both arms of the immune system together provide sterilising immunity and long-term memory
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10
Q

What happens when resting cells encounter a pathogen?

A
  1. resting cells come into contact with pathogen and recognises it through ligands or pathogen activities
  2. resting cell puts gene expression changes into action which means new genes expressed and translated into proteins
  3. these proteins include antimicrobial molecules that are directly toxic to pathogen
  4. proteins also include interleukins, chemokines, interferons etc and some are released from cell to communicate with neighbouring cells that haven’t encountered pathogen directly to make them ready
  5. these molecules also act on primary infected cell in autocrine manner, resulting in resting cell becoming activated and ready to tackle pathogen
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11
Q

What are some examples of molecules acting on primary infected cell and activating them?

A
  • naive T cells that become finetuned by antigen become CD4 or CD8 cell
  • macrophage that detects LPS from gram negative bacteria becomes an activated macrophage
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12
Q

What are the first responders to site of injury?

A
  • neutrophils are first to respond (short-lived, 6h) followed by monocytes that differentiate to become macrophages
  • naive cells become activated upon interaction with microbes
  • phagocytes control infection and limit/repair tissue damage
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13
Q

Why is uncontrolled activity of phagocytes bad?

A
  • in granulomas and similar situations they can release excessive cytokines
  • leads to more tissue damage than controlling infection
  • excessive inflammation and inappropriate adaptive immunity
  • tissue damage and blocked resolution of inflammation
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14
Q

How do phagocytes and other immune cells identify the class of pathogen?

A
  • bacteria - cell wall components e.g. LPS in E. coli
  • fungi - beta glucans are common fungi surface molecules and receptors like dectin-1 recognise these and signal through SRC tyrosine kinases
  • viruses - viral DNA/RNA in cytoplasm detected through various molecules, receptors and sensors
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15
Q

What type of immune response does bacteria produce?

A

Live E. coli elicits immune response:

  • inflammatory cytokines produced (e.g. IL-1beta that causes fever)
  • antimicrobial genes (directly toxic to bacteria)
  • metabolic genes (help macrophage cope with demand)
  • immunomodulatory genes (so adaptive immune system appropriately primed)

Dead E. coli results in no immune response
- macrophage tries to resolve inflammation

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16
Q

What type of immune response do fungi produce?

A
  • proinflammatory cytokines
  • antimicrobial genes
  • metabolic genes
  • immunomodulatory genes
17
Q

What type of immune response do viruses produce?

A
  • interferon production (interferes with viral replication)
  • proinflammatory cytokines
  • antiviral genes
  • immunomodulatory genes
18
Q

What is the role of macrophages in the immune response?

A
  • macrophages are tissue resident or circulatory (from bone marrow)
  • macrophage activation = expression of many new genes - induced by microbes and cytokines
  • ‘alternatively’ activated macrophages are anti-inflammatory
19
Q

What do activated macrophages display enhanced?

A
  • phagocytosis and migration
  • cytokine/chemokine production
  • expression of cell surface molecules
  • antimicrobial activity
  • antigen presentation and T cell activation
20
Q

What is crosstalk between macrophages and lymphocytes during infection by intracellular pathogens?

A
  • macrophage becomes infected with pathogen and after recognising this, it releases a set of cytokines e.g. IL-12, 18, 1, 6, TNF
  • these are recognised by T lymphocytes which produce IFN-gamma (type 2 interferon) which acts on macrophage and produces a number of new genes that are directly toxic to the pathogen
  • macrophage is activated and kills phagocytosed microbe
  • IFN-gamma crucial in killing and controlling Salmonella and mycobacterium infections
21
Q

What are interferons?

A
  • interferons are special cytokines - three types
  • detection of viruses or gram negative bacteria results in their production
  • have direct antiviral activities
  • immunomodulatory roles - enhanced T cell responses (higher MHC expression), anti-inflammatory actions, tissue repair
22
Q

What are type I interferons?

A
  • IFN alpha/beta
  • signalling on target cells results in expression of antiviral genes including:
  • nucleases
  • inhibitors of viral entry, uncoating, replication and exit
  • inhibitors of protein translation
  • every primary infected cell can produce type I IFN which can act on neighbouring cells to make them more able to resist viral infection
22
Q

What are type II interferons?

A
  • IFN gamma
  • only produced by lymphocytes
  • every single cell can respond to type I and II IFNs
  • expression of antiviral genes
  • promote antibacterial immunity
  • Th1 skewing
23
Q

What are type III interferons?

A
  • IFN lambda
  • response and gene expression changes is similar to type I IFN but expression pattern is more limited
  • only produced at epithelial surfaces but type I can be produced deeper in tissue as well
  • promote antiviral responses
  • mucosal immunity
24
Q

How are virus-infected cells killed?

A
  • killed by actions of cytotoxic T lymphocytes (CTLs) or NK cells
  • NKs detect downregulation of MHC on surface of virus-infected cells so target this and kill it
  • CTLs and NKs directly kill infected cells (contact-dependent) through granzymes which cause apoptosis
  • cell death removes viral replicative niches
  • host cells infected with intracellular bacterial pathogens also undergo forms of cell death (contact-independent)
25
Q

What are the soluble effector mechanisms of innate immunity?

A
  • complement mediated bacterial destruction
  • lectin-binding to neutralise cell attachment or entry
  • iron chelation (siderophores) to prevent replication
  • antibiotic-like peptides
26
Q

What are the cellular effector mechanisms of innate immunity?

A
  • reactive oxygen and nitrogen radicals (made by phagocyte oxidase and iNOS respectively - these genes are never present in naive cells and only expressed when pathogen encountered)
  • acidification and digestion within phagosomes
27
Q

How are T cells activated?

A
  • activated macrophages and DCs present antigens in combination with MHC-I/II to T cells
  • cytokines produced by APCs produce a suitable milieu for T cell activation e.g. IL-12 promotes T cell replication
  • T cells then provide cytokines that activate phagocytes e.g. IFN-gamma upregulates MHC-II expression for antigen presentation
  • they also produce cytokines that work in an autocrine way
  • responses are specific to general class of pathogens
28
Q

How are dendritic cells better able to respond to viral infections than macrophages?

A

They produce a lot of type I IFN during infection

29
Q

How do T cells help B cells produce antibodies?

A
  • APCs activated by infection and cytokines
  • cognate MHC presents foreign antigen to T cell which becomes activated to Th cell
  • Th helps activate B cell with the correct BCR which produces antibodies against antigen
  • antibody-mediated enhanced microbial response - phagocytosis (opsonisation) and complement activation
30
Q

What are the two main T cell types?

A
  • Th1 cell (CD4 T cell) - produced during bacterial infections that produce IFN-gamma and other cytokines that promote inflammation, phagocytosis and killing of microbes
  • Tc cell (CD8 T cell) - produced during viral infections and will directly kill virus infected cells leading to apoptosis of host cell, removing viral replicative niches
31
Q

What are some T cell functions?

A
  • phagocyte activation - T cell derived cytokines activate phagocytes –> enhanced killing of pathogens & inflammation
  • direct killing of infected cells - removal of replicative niches
  • B cell activation - antibody production and affinity maturation
  • innate lymphoid cells (gamma delta T cells) - reside in mucosal surfaces and are a type of early responders to infection (act independently to MHC)
32
Q

Microbe-specific phagocyte responses

A
  • Th1 –> IFN-gamma –> macrophages –> macrophage activation –> autoimmunity, chronic inflammation - intracellular pathogens
  • Th2 –> IL-4,5,13 –> eosinophil and mast cell activation, alternative macrophage activation –> allergy - helminths
  • Th17 –> IL-17,22 –> neutrophil recruitment and activation –> autoimmunity, inflammation - extracellular bacteria and fungi
33
Q

What is the overall sequence of the immune response?

A
  1. naive phagocyte encounters pathogens –> cytokines that act on itself and neighbouring cells
  2. results in gene expression in original phagocyte which results in interleukins, interferons being made = activates it –> APC, MHC
  3. T and B cells recognise antigens = proliferation to create a clonal population which differentiates into plasma cells that make antibody for B cells, and different classes of helper T cells like Th1/2/17 for T cells
  4. small amounts of the clonal population of both B and T cells reside in tissues as memory lymphocytes that can become rapidly activated upon a second infection to divide into more Th cells or plasma cells
34
Q

What is the difference in serum antibody titre between first and second infections of the same antigen?

A
  • secondary response is quicker
  • more antibody made
  • level of antibody after infection reduces slower and stays at a higher level
35
Q

What is the impact of age on the immune response?

A
  • as age increases, immune response gets weaker
  • mainly due to reduced thymic output - thymic involution
36
Q

Genetic and acquired immunodeficiencies

A
  • complement - various complement genes
  • leukocyte adhesion - genes involved in migration and adhesion
  • chronic granulomatous disease - loss of ROS production
  • Chediak-Higashi syndrome - compromised lysosomes
  • cytokine genes and their receptors - loss of cell-to-cell communication
  • severe combined immunodeficiency (SCID) - severe reduction and function of T and B cells
  • X-linked agammaglobulinaemia - decreased serum IgG of all types
  • HIV - reduced CD4 T helper cells
  • irradiation and chemotherapy - loss of bone marrow precursors
  • immunosuppression (graft rejection/chronic disease) - depletion or impairment of lymphocytes
37
Q

Summary of immune response to infection

A
  • first responders detect infection and try to control microbial growth and spread
  • chemokines further recruit immune cells, cytokines trigger inflammation and activate cells
  • DCs, macrophages and B cells present antigens and activate T cells, which undergo differentiation
  • specialised B and T cells together contribute to humoral and cellular immunity to pathogen classes
  • genetic and environmental factors can predispose individuals to infections